Victoria Electric Cooperative, Inc.

Victoria Electric Cooperative is an equal opportunity employer. This institution is an equal opportunity provider and employer.

Application Date

Month

Day

Year

Personal Information

Personal Information

Name *

Last, First, Middle

Phone Number *

Email Address *

Current Address *

Are you at least 18 years old? *

Yes

No

Can you work any shift?

Yes

No

Can you work overtime, including weekends?

Yes

No

Can you perform the essential functions of the position with or without reasonable accommodation for which you are applying?

Yes

No

Employment Desired

Position *

Date you can start *

Month

Day

Year

Salary Desired *$

Are you employed now? *

Yes

No

If so, may we contact your present employment? *

Yes

No

Have you ever applied to this company before? *

Yes

No

When?

Month

Day

Year

Referred By:

Education

High School

Name and Location of School

Did you graduate?

Yes

No

Diploma

GED

Did you graduate?

Yes

No

Diploma

College/Vocational School

Name and Location of School

Did you graduate?

Yes

No

Degree:

Years completed

Other:

Name and Location of School

Did you graduated?

Yes

No

Degree:

Professional Licenses or Membership

AT WILL STATEMENT:

Employment at VEC is at-will and based on the employment at-will relationship, termination may be initiated by the employee or the Cooperative at any time with or without cause, reason, or notice.

Previous Employment

Most Recent Employer

Company

Phone Number

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Start Date

Month

Day

Year

End Date

Month

Day

Year

Reason for Leaving

Second most Recent Employer

Company

Phone Number

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Start Date

Month

Day

Year

End Date

Month

Day

Year

Reason for Leaving

Third Most Recent Employer

Company

Phone Number

Address

Supervisor

Job Title

Starting Salary $

Ending Salary $

Responsibilities

Start Date

Month

Day

Year

End Date

Month

Day

Year

Reason for Leaving

Additional Information

Only United States citizens or aliens who are legally entitled to work in the United States are eligible for employment. Can you, upon employment, submit documentation verifying your identity and your legal right to work in the United States?

Yes

No

Have you ever been convicted of a felony?

Yes

No

Have you ever been convicted of a misdemeanor?

Yes

No

Have

one

two

three

New textarea

Explanation

Drivers License

Yes

No

If the position for which you are applying requires the operation of a motor vehicle, do you have a current driver’s license?

License Number

Type

Operator

Commercial

Other

References

Give the names of three persons not related to you, whom you have known at least one (1) year.

Reference #1

Name

Phone Number

Address

Number of years acquainted years

Business

Reference #2

Name

Phone Number

Address

Number of years acquainted years

Business

Reference #3

Name

Phone Number

Address

Number of years acquainted years

Business

Certification of Authenticity

Please Read Carefully Before Signing
INFORMATION ACCURACY: By signing below, I certify that the answers and information, whether set out above, attached to this Employment Application, or provided to VEC as a part of my application process, are true, accurate and complete to the best of my knowledge. I understand that if any such information is not true, accurate and complete, I may be disqualified from further consideration for employment, or, if discovered at a later date, dismissed from employment. I authorize VEC to investigate all statements contained in this application for employment, and to investigate my character and qualifications. I authorize my prior employers, references, and others with information regarding my work, educational history, or my character, to provide VEC all requested information and reference, and to cooperate fully with the investigation of my character and qualifications. I further release all the sources referenced (and all their employees, officer, directors and agents, and VEC and its employees, officer, directors and agents) of all the claims and liability for any damage resulting from their furnishing any information, whether I agree or disagree with the content of the disclosed information. Thus, I understand that if any of the reference sources discloses information which I believe to be erroneous, I cannot bring any legal action against that source or VEC regarding the disclosure of the information.
BACKGROUND CHECK & FCRA: In consideration for employment, VEC may obtain a consumer report, including a report from the Department of Motor Vehicles (if applying for a position involving driving during work hours), and/or background reports, which may include any criminal conviction records from any federal, state or local law enforcement agency or court, as a part of the process of considering my candidacy. In the event that information from the report is utilized in whole, or in part, in making an adverse decision with regard to my potential employment, before making the adverse decision VEC will provide me with a copy of the report and a description, in writing of my rights under The Fair Credit Reporting Act. (The Fair Credit Reporting Act defines specific rights in dealing with consumer reporting agencies. You may request a summary of these rights from VEC at this time, if you wish.) I further release VEC (and all their employees, officer, directors and agents) and any law enforcement agency from any and all liability for any damages resulting from furnishing any criminal conviction information, whether I agree or disagree with the contents of the information.
EMPLOYMENT AT-WILL: I understand that this application is not a contract of employment. I also acknowledge that no oral representations have been made, that no one within VEC has the authority to make oral contracts whatsoever. I understand that if VEC at any time.
POLICY COMPLIANCE: If I am employed by VEC, and in return for such employment, I agree to comply with all policies and procedures of VEC, including the rules and regulations set forth in any handbook, manual, policy or any other communication. I also agree to submit to any lawful drug, polygraph, or integrity testing that may be required as a condition of employment, and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge. I understand that any offer of employment would be contingent on my ability to produce documentation required by law to verify my identity and either U.S. citizen status or authorization to work in the U.S. Nothing herein creates a promise of employment, nor does it change the at-will nature of my employment if I am employed.
BY MY SIGNATURE BELOW, I HEREBY AUTHORIZE VICTORIA ELECTRIC COOPERATIVE, INC. TO OBTAIN A CONSUMER REPORT AND/OR AN INVESTIGATIVE REPORT TO CONSIDER ME FOR EMPLOYMENT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THEM, AND AGREE TO ALL CONDITIONS AND STATEMENTS SET FORTH ABOVE

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